Healthcare Provider Details

I. General information

NPI: 1144132929
Provider Name (Legal Business Name): ELIZABETH SCHUETZEBERG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 10/04/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12319 N MOPAC EXPY
AUSTIN TX
78758-2414
US

IV. Provider business mailing address

128 MORNING DAWN LN
GEORGETOWN TX
78628-3733
US

V. Phone/Fax

Practice location:
  • Phone: 512-508-3403
  • Fax:
Mailing address:
  • Phone: 512-508-3403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1245476
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: